JONATHAN BRETT GOODLOE (MD) – Orthopaedic Surgery Physician, NPI 1053841916

JONATHAN BRETT GOODLOE (MD) is a healthcare provider. based in Tappahannock, Virginia. specializing in ORAL SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. LL41020 (SC). The NPI Number for JONATHAN BRETT GOODLOE (MD) is 1053841916

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BRETT GOODLOE (MD)
NPI
1053841916
Phone
(804) 443-8670
Address
300 Mt Clement Park Ste B
Enumeration Date
14 June 2017
Last Update Date
16 October 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8048287929
Graduation Year
2013 (13 years ago)
PAC ID
3678849536
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20231108002508
Address ID
VA232985004RI1001XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

34 ORAL SURGERY in VA

Provider Addresses for JONATHAN BRETT GOODLOE (MD)

  • 300 Mt Clement Park Ste B

    Tappahannock, VA 225605098

    Phone: (804) 443-8670

    Fax: (804) 828-4762

    Type: Location

  • 131 Jennick Dr

    Colonial Heights, VA 238344905

    Phone: (804) 526-5888

    Fax: (804) 828-4762

    Type: Location

  • 11958 W Broad St

    Henrico, VA 232331007

    Phone: (804) 364-6557

    Fax: (804) 828-4762

    Type: Location

  • 1300 W Broad St Ste 113

    Richmond, VA 232849058

    Phone: (804) 828-7069

    Fax: (804) 828-4762

    Type: Location

  • 9000 Stony Point Pkwy

    Richmond, VA 232351900

    Phone: (804) 560-8945

    Fax: (804) 828-4762

    Type: Location

  • 618 Hospital Rd

    Tappahannock, VA 225605000

    Phone: (804) 443-6282

    Fax: (804) 828-4762

    Type: Location

  • 1200 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 828-7069

    Fax: (804) 828-4762

    Type: Location

  • 13048 Rivers Bend Rd

    Chester, VA 238362564

    Phone: (804) 526-5888

    Fax: (804) 828-4762

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 828-7069

    Fax: (804) 828-4762

    Type: Location

  • 332 N Henry St

    Williamsburg, VA 231854117

    Phone: (757) 220-1246

    Fax: (804) 828-4762

    Type: Location

  • 325 Charles Dimmock Parkway

    # 100

    Colonial Heights, VA 238342986

    Phone: (804) 526-5888

    Fax: (804) 828-4762

    Type: Location

  • 169, Ashley Avenue, Charleston, Charleston County, South Carolina, 29401, United States

    ROOM 202 MAIN HOSPITAL, MSC333

    CHARLESTON, SC 29425

    Phone:

    Type: Mailing

  • 169 ASHLEY AVE RM 202

    CHARLESTON, SC 294258905

    Phone: (843) 792-0245

    Type: Location

  • PO BOX 780125

    PHILADELPHIA, PA 191780125

    Phone: (804) 922-4844

    Type: Mailing

  • 1001 E LEIGH ST

    RICHMOND, VA 232985004

    Phone: (804) 828-7069

    Fax: (804) 828-4762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $6,095.

Total Amount is formed as General ($6,095) + Research ($0) + Ownership ($0) = $6,095.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Arthrex, Inc. ($1,753).

Total Amount

$6,095

General + Research + Ownership

Payments

66

Total payment records

General Amount

$6,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231108002508IOral SurgeryVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
-VA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Qualified AudiologistVA
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Endocrinology, Internal MedicineVA

Reviews

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Frequently asked questions

Can I verify JONATHAN BRETT GOODLOE (MD) with an NPI only?
You can start verification with NPI 1053841916 for JONATHAN BRETT GOODLOE (MD), then check state licensing separately.
Is JONATHAN BRETT GOODLOE (MD) still practicing?
JONATHAN BRETT GOODLOE (MD) is currently listed as active in the public NPI registry.
What is JONATHAN BRETT GOODLOE (MD)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for JONATHAN BRETT GOODLOE (MD) here. Clinical services aligned with this taxonomy classification.
Where is JONATHAN BRETT GOODLOE (MD) based?
JONATHAN BRETT GOODLOE (MD) is tied to Tappahannock, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
15 practice locations appear in the available data.

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